Sharp Electronics v. Metropolitan Life Insurance Co

CourtCourt of Appeals for the Seventh Circuit
DecidedAugust 18, 2009
Docket08-2959
StatusPublished

This text of Sharp Electronics v. Metropolitan Life Insurance Co (Sharp Electronics v. Metropolitan Life Insurance Co) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sharp Electronics v. Metropolitan Life Insurance Co, (7th Cir. 2009).

Opinion

In the

United States Court of Appeals For the Seventh Circuit

No. 08-2959

S HARP E LECTRONICS C ORPORATION, Plaintiff-Appellant, v.

M ETROPOLITAN L IFE INSURANCE C OMPANY,

Defendant-Appellee.

Appeal from the United States District Court for the Northern District of Illinois, Eastern Division. No. 05 C 0474—Arlander Keys, Magistrate Judge.

A RGUED A PRIL 14, 2009—D ECIDED A UGUST 18, 2009

Before K ANNE, R OVNER, and W OOD , Circuit Judges. W OOD , Circuit Judge. From 1997 until April 2, 2002, Sandra Rudzinski worked for Sharp Electronics Corpora- tion. As a full-time employee, she was entitled to partici- pate in a long-term group disability plan (the “Plan”), which was underwritten by Metropolitan Life Insurance Company (“MetLife”). The present controversy arose out of a lawsuit between Rudzinski and MetLife. Briefly, after Rudzinski stopped working for Sharp, she 2 No. 08-2959

applied for a conversion policy with MetLife to preserve her long-term disability coverage. MetLife denied her application. Rudzinski responded with a suit in federal court asserting that MetLife had wrongfully denied her benefits. Initially, MetLife was the sole defendant. During a settlement conference, however, MetLife represented to Rudzinski that one reason it had refused to pay her any long-term benefits was that Sharp had failed to make required payments to it on her behalf. Based on this statement, Rudzinski filed an amended complaint adding Sharp as an additional defendant; she asserted that Sharp had breached its fiduciary duty to her and had interfered with her benefits. On July 19, 2006, following an unsuccessful motion to dismiss, Sharp filed a cross-claim against MetLife asserting that MetLife had breached a fiduciary duty it allegedly owed to Sharp under the Employment Retirement Income Security Act of 1974 (“ERISA”), 29 U.S.C. § 1132, that MetLife was obliged to indemnify Sharp for certain expenses, and that MetLife was estopped from denying these obligations. Although Rudzinski and Sharp reached a settlement and the district court entered judgment in favor of Rudzinski in her action against MetLife, Sharp’s claim against MetLife remained pending. After Sharp filed an amended cross-claim, MetLife moved to dismiss for failure to state a claim. See F ED. R. C IV. P. 12(b)(6). The district court granted that motion on July 9, 2008, and Sharp has now appealed from the judgment against it. We affirm. No. 08-2959 3

I Sharp adopted the MetLife long-term disability plan in 1997 as part of the welfare benefits package it fur- nished for its employees; the Plan was qualified under ERISA. Sharp was, at all relevant times, the Plan adminis- trator and MetLife the Plan fiduciary. Pursuant to the Plan, Sharp was required to pay short-term disability benefits to eligible employees during a 180-day policy benefits elimination period. Thereafter, MetLife was required to pay long-term disability benefits to em- ployees who met criteria specified in the Plan. Sharp was required under the Plan to pay premiums to MetLife for the benefit of its employees, but it had no responsi- bility to pay premiums for a person whose employment with Sharp had been terminated, unless the person was disabled and was within an elimination period at the time her employment ended. On April 2, 2002, as a result of chronic fatigue, joint pain, and headaches, Rudzinski ceased active employ- ment with Sharp. (Later, she was diagnosed with fibromyalgia.) As a participating member in the Plan, Rudzinski was eligible for both short-term and long-term disability benefits. Accordingly, following the cessation of her employment, she began receiving short-term dis- ability benefits from Sharp and the 180-day elimination period began to run. Rudzinski also filed a claim with MetLife in which she requested long-term disability insurance benefits, to commence immediately upon the completion of the 180-day period. On July 9, 2002, Sharp notified Rudzinski that if she did not return to active employment by July 31, 2002, she 4 No. 08-2959

would lose her job and Sharp would cease making pay- ments on her behalf to MetLife for long-term disability benefits. Rudzinski did not return to work at Sharp, and, as promised, Sharp ended her employment effective July 31, 2002. Sometime prior to the deadline, Sharp informed Rudzinski that, if she did not return to work, she could preserve her long-term disability coverage with MetLife by obtaining a “conversion policy” and paying premiums on her own behalf as a non-employee. Rudzinski took the advice, applied to MetLife for a conversion policy, and paid the requisite premiums. After some time had passed, however, MetLife denied Rudzinski long-term disability benefits on the ground that she had a pre-existing disabil- ity at the time she applied for the conversion policy. Rudzinski then made a formal demand on MetLife for long-term disability benefits pursuant to the Plan. MetLife considered her demand and denied it, this time on the ground that she had not fulfilled the 180-day period that was supposed to precede long-term benefits. Rudzinski then filed a claim in the district court pursu- ant to 29 U.S.C. § 1132(a)(1)(B), alleging that MetLife wrongfully denied her benefits. Approximately two years after Rudzinski filed her lawsuit, and more than two years after MetLife initially denied her claim for benefits, MetLife’s lawyer let slip in a settlement con- ference that an additional reason why she did not qualify for benefits was that Sharp had discontinued payment of her long-term disability premiums following the termina- tion of her employment. The Plan does not obligate Sharp to make premium payments for any employee once the person is no longer working for it. Based on this No. 08-2959 5

representation from MetLife, Rudzinski amended her complaint to add Sharp as a defendant, alleging that Sharp violated 29 U.S.C. § 1140 by wrongfully interfering with her disability benefit rights under the Plan; violated its fiduciary duties to her; and misled her into believing that by obtaining a conversion policy and paying the necessary premiums, she could protect her rights to long- term disability benefits. Sharp responded to Rudzinski’s claim in two ways. First, it filed a Rule 12(b)(6) motion to dismiss for failure to state a claim; the district court denied that motion on April 27, 2006. Second, Sharp filed a cross-complaint against MetLife, alleging that (1) MetLife breached its fiduciary duties to Sharp under 29 U.S.C. §§ 1132(a)(2), 1132(a)(3), and 1109(a), when it stated in Rudzinski’s presence that Sharp’s nonpayment of premiums influ- enced its decision about her benefits; (2) MetLife was equitably estopped from relying on Sharp’s alleged nonpayment as a reason for denying Rudzinski’s benefits; and (3) if Sharp were found liable to Rudzinski on any of her claims, MetLife had to indemnify Sharp. On January 16, 2007, Rudzinski voluntarily dismissed her claims against Sharp. This action left two claims pending in the district court: Rudzinski’s claim against MetLife, and Sharp’s cross-claim against MetLife. MetLife moved to dismiss Sharp’s cross-claim. It argued with respect to Sharp’s assertion that MetLife had breached a fiduciary duty that it owed to Sharp that it owed no such duty.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Alessi v. Raybestos-Manhattan, Inc.
451 U.S. 504 (Supreme Court, 1981)
Massachusetts Mutual Life Insurance v. Russell
473 U.S. 134 (Supreme Court, 1985)
Pegram v. Herdrich
530 U.S. 211 (Supreme Court, 2000)
Aetna Health Inc. v. Davila
542 U.S. 200 (Supreme Court, 2004)
Bell Atlantic Corp. v. Twombly
550 U.S. 544 (Supreme Court, 2007)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
Carlsbad Technology, Inc. v. HIF Bio, Inc.
556 U.S. 635 (Supreme Court, 2009)
John H. Johnson v. Georgia-Pacific Corporation
19 F.3d 1184 (Seventh Circuit, 1994)
Williams Electronics Games, Inc. v. James M. Garrity
479 F.3d 904 (Seventh Circuit, 2007)
James D. Minch and Richard A. Graf v. City of Chicago
486 F.3d 294 (Seventh Circuit, 2007)
Davis v. Cook County
534 F.3d 650 (Seventh Circuit, 2008)
Segal v. Geisha NYC LLC
517 F.3d 501 (Seventh Circuit, 2008)
Jass v. Prudential Health Care Plan, Inc.
88 F.3d 1482 (Seventh Circuit, 1996)

Cite This Page — Counsel Stack

Bluebook (online)
Sharp Electronics v. Metropolitan Life Insurance Co, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sharp-electronics-v-metropolitan-life-insurance-co-ca7-2009.